Treatment of genital herpes during pregnancy
Genital herpes during pregnancy - is it dangerous?
It appointed individually and depends on many factors. Primarily, it depends on whether this genital herpes in women is a primary or recurrent disease, which it is caught before pregnancy.
Do I need to treat genital herpes during pregnancy
Dangerous for a pregnant woman and the fetus is not relapsing, and primary genital herpes, which requires specific tactics of pregnancy and its treatment. If the primary genital herpes is detected in the first trimester (12 weeks), the woman is usually recommended to terminate the pregnancy - is too great a risk of development of various malformations in the baby.
At a later date we treat pregnant women, the purpose of which - the suppression of viable virus, reducing the severity of symptoms or their disappearance, reducing the number of relapses, the prevention of infection of the fetus and newborn.
In recurrent genital herpes, which arose before pregnancy, are also held courses of treatment, since it is impossible to completely eliminate virus from entering through the placenta to the fetus. In this case, you should consider the fact that during pregnancy there is a physiological depression of immunity, which increases the risk of infection of the fetus and the development of intrauterine infection.
Treatment of genital herpes antiviral agents
The use of antiviral drugs during pregnancy is possible only when the intended benefits to the mother outweighs the potential risk of complications for the fetus. For the treatment of pregnant women is most commonly used antiviral drug acyclovir. It is believed that it does not have teratogenic effects on the fetus (ie, does not cause malformations) and has no significant side effects.
Side effects of acyclovir during its ingestion include nausea, vomiting, diarrhea, abdominal pain, various skin rash, headache, dizziness, lethargy, weakness, sleep disturbances
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, Decreased performance and concentration, hallucinations, fever, hair loss, transient disturbances of liver and kidney function, reduction of cellular elements (erythrocytes and leukocytes) in the blood.
Sometimes the treatment of pregnant women prescribed the antiviral drug such as valacyclovir. But its impact on a woman's body is even less studied than that of acyclovir. However, laboratory research and experience in the application of this drug for the treatment of pregnant women did not reveal his teratogenic properties.
For topical treatment of genital herpes are widely used antiviral ointments and creams - acyclovir
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, Viru-Merz gel serol and so on. They practically do not get into the bloodstream and have no overall impact on the body of the pregnant woman and the fetus. To speed up the healing of skin and mucous membranes of the genitals pregnant women used sea buckthorn oil and rosehip oil.
Appointment of pregnant women with recurrent genital herpes treatment acyclovir month before birth can prevent relapse. This in turn will allow for delivery is a natural way, without the need for cesarean section.
Treatment of genital herpes immunomodulators
The structure of a conventional complex treatment of genital herpes certainly include drugs with immunomodulatory effects.
But during pregnancy immunomodulators apply undesirable since their effects on the mother and the child is not fully understood, particularly long-term effects of these drugs on the body of the child. It is not necessary to use any of the vaccine, gamma globulin, and so on.
Application immunostimuljatorov plant (Eleutherococcus, ginseng, Rhodiola rosea, etc.) are also questionable - in the pharmacy instructions to these drugs in pregnancy is indicated list of contraindications.
When shown a cesarean section
Cesarean delivery is recommended if there is a risk of infection during the passage of the baby through the birth canal of the mother. In order to determine how big this risk, four weeks before the birth the woman examined and if mucosal herpes virus is detected, a course of antiviral treatment.
If the threat of infection persists, the delivery was performed by caesarean section.
Any treatment of a pregnant woman can be carried out only as directed her physician.
- Treatment of genital herpes